Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00142 | Date 08/08/2018 |
| Token No | SM/18-19/148 08/08/2018 | Serial | 014 |
| Patient Name | Mr. RAMEN HALDER | Contact No | |
| Address | PANCHANAN TALA LANE | Age | 36 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 128/64 mmHg | Weight | KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||